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<text top="281" left="553" width="205" height="20" font="0">This is a sample document to</text>
<text top="301" left="553" width="255" height="20" font="0">showcase page-based formatting. It</text>
<text top="321" left="553" width="255" height="20" font="0">contains a chapter from a <a href="http://en.wikibooks.org/">Wikibook</a></text>
<text top="341" left="553" width="258" height="20" font="0">called <a href="http://en.wikibooks.org/wiki/Sensory_Systems">Sensory Systems. None of the</a></text>
<text top="360" left="553" width="233" height="20" font="0">content has been changed in this</text>
<text top="380" left="553" width="245" height="20" font="0">article, but some content has been</text>
<text top="400" left="553" width="67" height="20" font="0">removed.</text>
<text top="129" left="85" width="640" height="48" font="1">Anatomy of the Somatosensory System</text>
<text top="218" left="85" width="9" height="22" font="2">F</text>
<text top="221" left="94" width="29" height="17" font="3">ROM</text>
<text top="218" left="123" width="19" height="22" font="2"> W</text>
<text top="221" left="143" width="61" height="17" font="3">IKIBOOKS</text>
<text top="214" left="204" width="7" height="16" font="4">1</text>
<text top="271" left="85" width="425" height="22" font="2">Our somatosensory system consists of sensors in the skin</text>
<text top="290" left="85" width="425" height="22" font="2">and sensors in our muscles, tendons, and joints. The re-</text>
<text top="310" left="85" width="425" height="22" font="2">ceptors in the skin, the so called cutaneous receptors, tell</text>
<text top="330" left="85" width="168" height="22" font="2">us about temperature (</text>
<text top="330" left="253" width="114" height="22" font="5"><i>thermoreceptors</i></text>
<text top="330" left="368" width="143" height="22" font="2">), pressure and sur-</text>
<text top="350" left="85" width="103" height="22" font="2">face texture (</text>
<text top="350" left="188" width="135" height="22" font="5"><i>mechano receptors</i></text>
<text top="350" left="323" width="98" height="22" font="2">), and pain (</text>
<text top="350" left="420" width="80" height="22" font="5"><i>nociceptors</i></text>
<text top="350" left="500" width="10" height="22" font="2">).</text>
<text top="370" left="85" width="425" height="22" font="2">The receptors in muscles and joints provide information</text>
<text top="389" left="85" width="400" height="22" font="2">about muscle length, muscle tension, and joint angles.</text>
<text top="434" left="85" width="162" height="23" font="6">Cutaneous receptors</text>
<text top="467" left="85" width="191" height="22" font="2">Sensory information from</text>
<text top="467" left="281" width="140" height="22" font="5"><i>Meissner corpuscles</i></text>
<text top="467" left="427" width="84" height="22" font="2">and rapidly</text>
<text top="486" left="85" width="425" height="22" font="2">adapting afferents leads to adjustment of grip force when</text>
<text top="506" left="85" width="425" height="22" font="2">objects are lifted. These afferents respond with a brief</text>
<text top="526" left="85" width="425" height="22" font="2">burst of action potentials when objects move a small dis-</text>
<text top="546" left="85" width="425" height="22" font="2">tance during the early stages of lifting. In response to</text>
<text top="582" left="531" width="234" height="22" font="5"><i>Figure 1: Receptors in the hu-</i></text>
<text top="602" left="531" width="234" height="22" font="5"><i>man skin: Mechanoreceptors can</i></text>
<text top="622" left="531" width="234" height="22" font="5"><i>be free receptors or encapsulated.</i></text>
<text top="642" left="531" width="234" height="22" font="5"><i>Examples for free receptors are</i></text>
<text top="662" left="531" width="234" height="22" font="5"><i>the hair receptors at the roots of</i></text>
<text top="681" left="531" width="234" height="22" font="5"><i>hairs. Encapsulated receptors are</i></text>
<text top="701" left="531" width="234" height="22" font="5"><i>the Pacinian corpuscles and the</i></text>
<text top="721" left="531" width="234" height="22" font="5"><i>receptors in the glabrous (hair-</i></text>
<text top="741" left="531" width="234" height="22" font="5"><i>less) skin: Meissner corpuscles,</i></text>
<text top="761" left="531" width="234" height="22" font="5"><i>Ruffini corpuscles and Merkel’s</i></text>
<text top="780" left="531" width="40" height="22" font="5"><i>disks.</i></text>
<text top="584" left="192" width="49" height="13" font="7">Hairy skin</text>
<text top="583" left="330" width="66" height="13" font="7">Glabrous skin</text>
<text top="678" left="458" width="48" height="13" font="7">Epidermis</text>
<text top="771" left="458" width="35" height="13" font="7">Dermis</text>
<text top="876" left="165" width="29" height="9" font="8">Pacinian</text>
<text top="886" left="165" width="32" height="9" font="8">corpuscle</text>
<text top="630" left="343" width="56" height="9" font="9">Papillary Ridges</text>
<text top="686" left="325" width="19" height="9" font="9">Septa</text>
<text top="787" left="253" width="29" height="9" font="8">Ruffini’s</text>
<text top="797" left="253" width="34" height="9" font="8"> corpuscle</text>
<text top="826" left="99" width="44" height="9" font="8">Hair receptor</text>
<text top="759" left="394" width="39" height="9" font="8">Meissne r’s</text>
<text top="769" left="394" width="32" height="9" font="8">corpuscle</text>
<text top="765" left="85" width="35" height="9" font="9">Sebaceous</text>
<text top="775" left="107" width="19" height="9" font="9">gland</text>
<text top="687" left="160" width="36" height="9" font="8">Free nerve</text>
<text top="697" left="175" width="23" height="9" font="8">ending</text>
<text top="689" left="218" width="30" height="9" font="8">Merkel ’s</text>
<text top="699" left="218" width="27" height="9" font="8">receptor</text>
<text top="933" left="85" width="7" height="16" font="4">1</text>
<text top="938" left="95" width="655" height="20" font="10">The following description is based on lecture notes from Laszlo Zaborszky, from Rutgers University.</text>
<text top="990" left="765" width="10" height="20" font="0">1</text>
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<text top="127" left="85" width="234" height="22" font="5"><i>Figure 2: Mammalian muscle</i></text>
<text top="147" left="85" width="234" height="22" font="5"><i>spindle showing typical position</i></text>
<text top="167" left="85" width="234" height="22" font="5"><i>in a muscle (left), neuronal con-</i></text>
<text top="186" left="85" width="234" height="22" font="5"><i>nections in spinal cord (middle)</i></text>
<text top="206" left="85" width="234" height="22" font="5"><i>and expanded schematic (right).</i></text>
<text top="226" left="85" width="234" height="22" font="5"><i>The spindle is a stretch receptor</i></text>
<text top="246" left="85" width="234" height="22" font="5"><i>with its own motor supply con-</i></text>
<text top="266" left="85" width="234" height="22" font="5"><i>sisting of several intrafusal mus-</i></text>
<text top="285" left="85" width="234" height="22" font="5"><i>cle fibres. The sensory endings of</i></text>
<text top="305" left="85" width="234" height="22" font="5"><i>a primary (group Ia) afferent and</i></text>
<text top="325" left="85" width="234" height="22" font="5"><i>a secondary (group II) afferent</i></text>
<text top="345" left="85" width="234" height="22" font="5"><i>coil around the non-contractile</i></text>
<text top="365" left="85" width="234" height="22" font="5"><i>central portions of the intrafusal</i></text>
<text top="384" left="85" width="43" height="22" font="5"><i>fibres.</i></text>
<text top="437" left="340" width="425" height="22" font="2">rapidly adapting afferent activity, muscle force increases</text>
<text top="457" left="340" width="425" height="22" font="2">reflexively until the gripped object no longer moves. Such</text>
<text top="477" left="340" width="425" height="22" font="2">a rapid response to a tactile stimulus is a clear indication</text>
<text top="497" left="340" width="425" height="22" font="2">of the role played by somatosensory neurons in motor ac-</text>
<text top="516" left="340" width="43" height="22" font="2">tivity.</text>
<text top="536" left="363" width="150" height="22" font="2">The slowly adapting</text>
<text top="536" left="518" width="129" height="22" font="5"><i>Merkel’s receptors</i></text>
<text top="536" left="653" width="113" height="22" font="2">are responsible</text>
<text top="556" left="340" width="425" height="22" font="2">for form and texture perception. As would be expected for</text>
<text top="576" left="340" width="425" height="22" font="2">receptors mediating form perception, Merkel’s receptors</text>
<text top="596" left="340" width="425" height="22" font="2">are present at high density in the digits and around the</text>
<text top="615" left="340" width="425" height="22" font="2">mouth (50/mm² of skin surface), at lower density in oth-</text>
<text top="635" left="340" width="425" height="22" font="2">er glabrous surfaces, and at very low density in hairy skin.</text>
<text top="655" left="340" width="425" height="22" font="2">This innervations density shrinks progressively with the</text>
<text top="675" left="340" width="425" height="22" font="2">passage of time so that by the age of 50, the density in hu-</text>
<text top="695" left="340" width="425" height="22" font="2">man digits is reduced to 10/mm². Unlike rapidly adapting</text>
<text top="714" left="340" width="425" height="22" font="2">axons, slowly adapting fibers respond not only to the ini-</text>
<text top="734" left="340" width="425" height="22" font="2">tial indentation of skin, but also to sustained indentation</text>
<text top="754" left="340" width="246" height="22" font="2">up to several seconds in duration.</text>
<text top="774" left="363" width="256" height="22" font="2">Activation of the rapidly adapting</text>
<text top="774" left="625" width="140" height="22" font="5"><i>Pacinian corpuscles</i></text>
<text top="794" left="340" width="425" height="22" font="2">gives a feeling of vibration, while the slowly adapting</text>
<text top="813" left="340" width="129" height="22" font="5"><i>Ruffini corpuscles</i></text>
<text top="813" left="478" width="287" height="22" font="2">respond to the lataral movement or</text>
<text top="833" left="340" width="133" height="22" font="2">stretching of skin.</text>
<text top="878" left="340" width="95" height="23" font="6">Nociceptors</text>
<text top="910" left="340" width="425" height="22" font="2">Nociceptors have free nerve endings. Functionally, skin</text>
<text top="930" left="340" width="425" height="22" font="2">nociceptors are either high-threshold mechanoreceptors</text>
<text top="75" left="85" width="119" height="20" font="0">From Wikibooks</text>
<text top="990" left="75" width="10" height="20" font="0">2</text>
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<text top="131" left="304" width="135" height="22" font="11"><b>Rapidly adapting</b></text>
<text top="131" left="580" width="126" height="22" font="11"><b>Slowly adapting</b></text>
<text top="158" left="89" width="129" height="22" font="2">Surface receptor /</text>
<text top="178" left="89" width="111" height="22" font="2">small receptive</text>
<text top="198" left="89" width="32" height="22" font="2">field</text>
<text top="158" left="226" width="93" height="22" font="5"><i>Hair receptor</i></text>
<text top="158" left="319" width="5" height="22" font="2">,</text>
<text top="158" left="328" width="144" height="22" font="5"><i>Meissner’s corpuscle</i></text>
<text top="158" left="472" width="36" height="22" font="2">: De-</text>
<text top="178" left="226" width="273" height="22" font="2">tect an insect or a very fine vibration.</text>
<text top="198" left="226" width="212" height="22" font="2">Used for recognizing texture.</text>
<text top="158" left="524" width="233" height="22" font="2">Merkel’s receptor: Used for spa-</text>
<text top="178" left="524" width="229" height="22" font="2">tial details, e.g. a round surface</text>
<text top="198" left="524" width="167" height="22" font="2">edge or “an X” in brail.</text>
<text top="225" left="89" width="112" height="22" font="2">Deep receptor /</text>
<text top="245" left="89" width="108" height="22" font="2">large receptive</text>
<text top="265" left="89" width="32" height="22" font="2">field</text>
<text top="235" left="226" width="131" height="22" font="5"><i>Pacinian corpuscle</i></text>
<text top="235" left="357" width="129" height="22" font="2">: “A diffuse vibra-</text>
<text top="255" left="226" width="231" height="22" font="2">tion” e.g. tapping with a pencil.</text>
<text top="225" left="524" width="128" height="22" font="5"><i>Ruffini’s corpuscle</i></text>
<text top="225" left="652" width="61" height="22" font="2">: “A skin</text>
<text top="245" left="524" width="231" height="22" font="2">stretch”. Used for joint position</text>
<text top="265" left="524" width="74" height="22" font="2">in fingers.</text>
<text top="297" left="85" width="52" height="22" font="5"><i>Table 1</i></text>
<text top="530" left="553" width="222" height="20" font="0">Notice how figure captions and</text>
<text top="550" left="553" width="248" height="20" font="0">sidenotes are shown in the outside</text>
<text top="570" left="553" width="271" height="20" font="0">margin (on the left or right, depending</text>
<text top="590" left="553" width="255" height="20" font="0">on whether the page is left or right).</text>
<text top="610" left="553" width="249" height="20" font="0">Also, figures are floated to the top/</text>
<text top="629" left="553" width="273" height="20" font="0">bottom of the page. Wide content, like</text>
<text top="649" left="553" width="275" height="20" font="0">the table and Figure 3, intrude into the</text>
<text top="669" left="553" width="118" height="20" font="0">outside margins.</text>
<text top="342" left="85" width="15" height="22" font="2">or</text>
<text top="342" left="107" width="144" height="22" font="5"><i>polymodal receptors</i></text>
<text top="342" left="251" width="259" height="22" font="2">. Polymodal receptors respond not</text>
<text top="361" left="85" width="425" height="22" font="2">only to intense mechanical stimuli, but also to heat and</text>
<text top="381" left="85" width="425" height="22" font="2">to noxious chemicals. These receptors respond to minute</text>
<text top="401" left="85" width="425" height="22" font="2">punctures of the epithelium, with a response magnitude</text>
<text top="421" left="85" width="425" height="22" font="2">that depends on the degree of tissue deformation. They al-</text>
<text top="441" left="85" width="425" height="22" font="2">so respond to temperatures in the range of 40–60°C, and</text>
<text top="460" left="85" width="425" height="22" font="2">change their response rates as a linear function of warm-</text>
<text top="480" left="85" width="425" height="22" font="2">ing (in contrast with the saturating responses displayed by</text>
<text top="500" left="85" width="388" height="22" font="2">non-noxious thermoreceptors at high temperatures).</text>
<text top="520" left="108" width="402" height="22" font="2">Pain signals can be separated into individual compo-</text>
<text top="540" left="85" width="425" height="22" font="2">nents, corresponding to different types of nerve fibers</text>
<text top="559" left="85" width="425" height="22" font="2">used for transmitting these signals. The rapidly transmit-</text>
<text top="579" left="85" width="425" height="22" font="2">ted signal, which often has high spatial resolution, is</text>
<text top="599" left="85" width="43" height="22" font="2">called</text>
<text top="599" left="133" width="64" height="22" font="5"><i>first pain</i></text>
<text top="599" left="202" width="15" height="22" font="2">or</text>
<text top="599" left="222" width="169" height="22" font="5"><i>cutaneous pricking pain</i></text>
<text top="599" left="391" width="120" height="22" font="2">. It is well local-</text>
<text top="619" left="85" width="425" height="22" font="2">ized and easily tolerated. The much slower, highly affec-</text>
<text top="639" left="85" width="181" height="22" font="2">tive component is called</text>
<text top="639" left="271" width="84" height="22" font="5"><i>second pain</i></text>
<text top="639" left="360" width="15" height="22" font="2">or</text>
<text top="639" left="380" width="91" height="22" font="5"><i>burning pain</i></text>
<text top="639" left="472" width="39" height="22" font="2">; it is</text>
<text top="658" left="85" width="386" height="22" font="2">poorly localized and poorly tolerated. The third or</text>
<text top="658" left="477" width="33" height="22" font="5"><i>deep</i></text>
<text top="678" left="85" width="31" height="22" font="5"><i>pain</i></text>
<text top="678" left="116" width="394" height="22" font="2">, arising from viscera, musculature and joints, is also</text>
<text top="698" left="85" width="425" height="22" font="2">poorly localized, can be chronic and is often associated</text>
<text top="718" left="85" width="136" height="22" font="2">with referred pain.</text>
<text top="763" left="85" width="128" height="23" font="6">Muscle Spindles</text>
<text top="795" left="85" width="425" height="22" font="2">Scattered throughout virtually every striated muscle in the</text>
<text top="815" left="85" width="425" height="22" font="2">body are long, thin, stretch receptors called muscle spin-</text>
<text top="835" left="85" width="425" height="22" font="2">dles. They are quite simple in principle, consisting of a few</text>
<text top="854" left="85" width="425" height="22" font="2">small muscle fibers with a capsule surrounding the middle</text>
<text top="874" left="85" width="304" height="22" font="2">third of the fibers. These fibers are called</text>
<text top="874" left="394" width="111" height="22" font="5"><i>intrafusal fibers</i></text>
<text top="874" left="506" width="5" height="22" font="2">,</text>
<text top="894" left="85" width="191" height="22" font="2">in contrast to the ordinary</text>
<text top="894" left="279" width="111" height="22" font="5"><i>extrafusal fibers</i></text>
<text top="894" left="391" width="120" height="22" font="2">. The ends of the</text>
<text top="914" left="85" width="425" height="22" font="2">intrafusal fibers are attached to extrafusal fibers, so when-</text>
<text top="934" left="85" width="425" height="22" font="2">ever the muscle is stretched, the intrafusal fibers are also</text>
<text top="75" left="484" width="282" height="20" font="0">Anatomy of the Somatosensory System</text>
<text top="990" left="765" width="10" height="20" font="0">3</text>
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<text top="167" left="251" width="25" height="12" font="12">Force</text>
<text top="181" left="251" width="31" height="12" font="12">control</text>
<text top="194" left="251" width="27" height="12" font="12">signal</text>
<text top="275" left="251" width="35" height="12" font="12">Driving</text>
<text top="288" left="251" width="27" height="12" font="12">signal</text>
<text top="389" left="251" width="31" height="12" font="12">Length</text>
<text top="402" left="251" width="31" height="12" font="12">control</text>
<text top="415" left="251" width="27" height="12" font="12">signal</text>
<text top="297" left="624" width="23" height="12" font="13">Load</text>
<text top="220" left="591" width="38" height="12" font="12">External</text>
<text top="233" left="591" width="27" height="12" font="12">forces</text>
<text top="291" left="469" width="34" height="12" font="13">Tendon</text>
<text top="304" left="469" width="30" height="12" font="13">organs</text>
<text top="290" left="528" width="58" height="12" font="12">Muscle force</text>
<text top="273" left="664" width="33" height="12" font="12">Muscle</text>
<text top="286" left="664" width="28" height="12" font="12">length</text>
<text top="194" left="389" width="68" height="12" font="12">Force feedback</text>
<text top="356" left="345" width="43" height="12" font="12">Length &amp;</text>
<text top="369" left="345" width="36" height="12" font="12">velocity</text>
<text top="382" left="345" width="40" height="12" font="12">feedback</text>
<text top="180" left="389" width="122" height="12" font="14">Force (Golgi tendon organ)</text>
<text top="389" left="418" width="38" height="12" font="13">Spindles</text>
<text top="438" left="359" width="56" height="12" font="12">Gamma bias</text>
<text top="341" left="98" width="199" height="12" font="14">Length (secondary muscle-spindel afferents)</text>
<text top="354" left="85" width="213" height="12" font="14">Length error (primary muscle-spindel afferents)</text>
<text top="367" left="107" width="195" height="12" font="14">Velocity (primary muscle-spindel afferents)</text>
<text top="297" left="394" width="33" height="12" font="13">Muscle</text>
<text top="194" left="306" width="25" height="12" font="13">Inter-</text>
<text top="207" left="306" width="35" height="12" font="13">neurons</text>
<text top="467" left="85" width="680" height="22" font="5"><i>Figure 3: Feedback loops for proprioceptive signals for the perception and control of limb move-</i></text>
<text top="487" left="85" width="575" height="22" font="5"><i>ments. Arrows indicate excitatory connections; filled circles inhibitory connections.</i></text>
<text top="650" left="62" width="235" height="20" font="0">For more examples of how to use</text>
<text top="669" left="72" width="226" height="20" font="0">HTML and CSS for paper-based</text>
<text top="689" left="123" width="175" height="20" font="0">publishing, see <a href="http://css4.pub">css4.pub.</a></text>
<text top="540" left="340" width="425" height="22" font="2">stretched. The central region of each intrafusal fiber has</text>
<text top="560" left="340" width="425" height="22" font="2">few myofilaments and is non-contractile, but it does have</text>
<text top="580" left="340" width="425" height="22" font="2">one or more sensory endings applied to it. When the mus-</text>
<text top="599" left="340" width="425" height="22" font="2">cle is stretched, the central part of the intrafusal fiber is</text>
<text top="619" left="340" width="363" height="22" font="2">stretched and each sensory ending fires impulses.</text>
<text top="639" left="363" width="402" height="22" font="2">Muscle spindles also receive a motor innervation. The</text>
<text top="659" left="340" width="425" height="22" font="2">large motor neurons that supply extrafusal muscle fibers</text>
<text top="679" left="340" width="70" height="22" font="2">are called</text>
<text top="679" left="413" width="145" height="22" font="5"><i>alpha motor neurons</i></text>
<text top="679" left="558" width="207" height="22" font="2">, while the smaller ones sup-</text>
<text top="698" left="340" width="425" height="22" font="2">plying the contractile portions of intrafusal fibers are</text>
<text top="718" left="340" width="43" height="22" font="2">called</text>
<text top="718" left="390" width="114" height="22" font="5"><i>gamma neurons</i></text>
<text top="718" left="504" width="261" height="22" font="2">. Gamma motor neurons can regu-</text>
<text top="738" left="340" width="425" height="22" font="2">late the sensitivity of the muscle spindle so that this sensi-</text>
<text top="758" left="340" width="383" height="22" font="2">tivity can be maintained at any given muscle length.</text>
<text top="803" left="340" width="118" height="23" font="6">Joint receptors</text>
<text top="835" left="340" width="425" height="22" font="2">The joint receptors are low-threshold mechanoreceptors</text>
<text top="855" left="340" width="425" height="22" font="2">and have been divided into four groups. They signal differ-</text>
<text top="875" left="340" width="425" height="22" font="2">ent characteristics of joint function (position, movements,</text>
<text top="894" left="340" width="425" height="22" font="2">direction and speed of movements). The free receptors or</text>
<text top="914" left="340" width="277" height="22" font="2">type 4 joint receptors are nociceptors.</text>
<text top="75" left="85" width="119" height="20" font="0">From Wikibooks</text>
<text top="990" left="75" width="10" height="20" font="0">4</text>
</page>
<outline>
<item page="1">Anatomy of the Somatosensory System</item>
<outline>
<item page="1">Cutaneous receptors</item>
<item page="2">Nociceptors</item>
<item page="3">Muscle Spindles</item>
<item page="4">Joint receptors</item>
</outline>
</outline>
</pdf2xml>
